Organization
MEDAGENE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GONZALO URIBE-BOTERO M.D. (OWNER)
(713) 779-1633
Entity
Organization
Contact information
Practice address
5373 W ALABAMA ST HOUSTON, TX 77056, BELLAIRE, TX 77056
(713) 779-1633
Mailing address
6575 WEST LOOP S, BELLAIRE, TX 77401-3521
(713) 779-1633
(713) 995-5914
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E1956
TX
Other
Enumeration date
07/25/2011
Last updated
04/30/2026
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